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- Tsuchiya Shigekuni
- Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
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- Toya Yukiko
- Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
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- Matsumoto Atsushi
- Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
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- Ito Ai
- Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
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- Yoshida Taro
- Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
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- Toyoshima Hiroshi
- Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
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- Takashimizu Nao
- Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
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- Konishi Yu
- Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
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- Sotodate Genichiro
- Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
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- Oyama Kotaro
- Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
Bibliographic Information
- Other Title
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- 早産児の管理方法の変化と早産児動脈管開存症の発症
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Abstract
The effect of different methods of perinatal management for patent ductus arteriosus ‹PDA) occurrence is unknown. Therefore, we compared methods of perinatal management and PDA incidence in preterm infants before and after the introduction of early aggressive nutrition ‹EAN› in our institution. Infants ‹gestational age <34 weeks› who were admitted as inpatients between 2006 and 2008 ‹no EAN, period A) and between 2012 and 2014 ‹EAN, period B› were assessed. Maternal and neonatal factors affecting PDA incidence were investigated. Compared to period A, infant immaturity was more severe and the PDA incidence was higher in period B. More severe immaturity and a higher rate of concomitant respiratory distress syndrome ‹RDS› were noted in infants who developed PDA, both in periods A and B. Multiple logistic regression analysis showed that PDA onset was associated with the presence or absence of RDS, gestational age, and echocardiographic indicators immediately after birth. Despite changes in our institution’s perinatal management, the incidence of PDA was unaffected, with infant immaturity being the most important PDA risk factor. Our results indicate that echocardiographic indicators immediately after birth could be used to predict PDA onset in preterm infants with a low gestational age and RDS.
Journal
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- Journal of Iwate Medical Assiociation
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Journal of Iwate Medical Assiociation 71 (5), 201-212, 2019
Iwate Medical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390002184855545856
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- NII Article ID
- 130007771224
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- NII Book ID
- AN0028144X
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- ISSN
- 24340855
- 00213284
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- NDL BIB ID
- 030169771
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- Text Lang
- en
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed